Organization Active NPI

William a. Rafuls, MD, Inc.

  • Geriatric Psychiatry Physician
  • Chattanooga, TN
National Provider Identifier
1619207958
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
35742 Issued in TN
Legal business name
WILLIAM A. RAFULS, MD, INC.
Practice address
2158 Northgate Park LN Ste 220
Chattanooga, TN 37415-6959
Phone
(423) 762-9182
Fax
(423) 508-8361
NPI assigned
Jan 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William A. Rafuls, M.D.
Title
Physician
Phone
(423) 762-9182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0805X 35742 TN Primary

Addresses

Primary practice location

2158 Northgate Park LN Ste 220
Chattanooga, TN 37415-6959

Mailing address

2158 Northgate Park LN Ste 220
Chattanooga, TN 37415-6959
Phone (423) 762-9182

Other identifiers 1

IdentifierTypeStateIssuer
1514712MedicaidTN

National Provider Directory

National Provider Directory

Locations

2158 Northgate Park Ln
Ste 220
Chattanooga, TN 37415
Phone (423) 762-9182

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1619207958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 NORTHGATE PARK LN STE 220",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374156959",
            "telephone_number": "423-762-9182",
            "fax_number": "423-508-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 NORTHGATE PARK LN STE 220",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374156959",
            "telephone_number": "423-762-9182",
            "fax_number": "423-508-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A. RAFULS, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "RAFULS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "423-762-9182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "TN",
            "license": "35742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1514712",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.